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Communication

Horizontales
A nontherapeutic block of persistent questioning and pushing for answers.
A responsive dimension in which the nurse is self-congruent, authentic and transparent.
Therapeutic communication strategy that provides time for the nurse and client to gather thoughts and reflect.
A responsive dimension suggesting the client is regarded as a person of worth and who is valued and accepted without qualifications.
Nontherapeutic Block that minimizes the client's concerns and causes the client to feel insignificant or unimportant.
Offering the client availability and emotional support. Eg: I'll stay with you for awhile.
"I'm sure that your psychiatrist only has your best interests in mind." Nontherapeutic Block.
A therapeutic communication strategy that bring incongruences or inconsistencies into awareness.
Giving the client a false sense of confidence and devaluing the client's feelings.
Therapeutic strategy that expresses uncertainty as to the reality of what is being communicated or the client's perceptions. Often used when client is experiencing delusional thinking.
By telling the client what to do, the nurse takes away the client's ability to sort out options and determine the pros and cons of various choices.
A nontherapeutic block that tells the client the meaning of their experiences. E.g.: "What you really mean is..."
Nontherapeutic Block that requests an explanation.
Verticales
Repeat to the client the main thought that the client has expressed.
Redirecting the client to an idea of importance - e.g. can we go back and talk about how it felt when you learned that you lost your job.
"Let's not discuss that" or "I don't want to hear about it." - a nontherapeutic block.
When the nurse communicates an understanding of the client's world from the client's internal frame of reference, with sensitivity to their feelings.
Example: Tell me what happened before your admission."
Helps the client to choose the topic of the conversation and puts the client in control of the content.
Calling into question the client's feelings and demanding proof of their statements - a nontherapeutic block.
"Have you considered the possibility of attending outpatient CBT sessions?"